Department of Veterans' Affairs Fee Schedules for Medical Services

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PATHOLOGY SERVICES Item 100% MBS Item 100% MBS Item 100% MBS Item 100% MBS 63498 44.80 65153 142.80 66578 69.80 66667 30.80 63499 156.80 65156 214.20 66581 78.80 66671 37.15 63501 500.00 65157 71.40 66584 9.75 66674 40.20 63502 500.00 65158 71.40 66587 47.85 66677 11.25 63504 500.00 65159 71.40 66590 30.80 66680 74.95 63505 500.00 65162 10.50 66593 18.10 66683 74.95 65060 7.90 65165 34.70 66596 32.75 66686 51.00 65066 10.45 65166 34.70 66599 23.75 66695 30.70 65070 17.05 65171 25.50 66602 43.25 66696 30.70 65072 10.25 65175 25.50 66605 30.80 66697 13.30 65075 52.30 65176 49.00 66606 30.80 66698 44.00 65078 90.80 65177 72.45 66607 76.25 66701 57.30 65079 90.80 65178 95.85 66608 42.55 66704 70.60 65081 97.25 65179 119.30 66609 42.55 66707 83.90 65082 97.25 65180 25.50 66610 76.25 66711 30.35 65084 166.95 65181 23.45 66623 41.80 66712 43.35 65087 83.65 66500 9.75 66626 24.25 66714 30.35 65090 11.20 66503 11.75 66629 20.25 66715 12.95 65093 22.15 66506 13.75 66632 20.25 66716 25.20 65096 41.30 66509 15.75 66635 20.25 66719 35.05 65099 109.65 66512 17.80 66638 49.40 66722 38.15 65102 165.70 66517 19.80 66639 29.40 66723 38.15 65105 109.65 66518 20.20 66641 29.40 66724 13.25 65108 165.70 66519 40.40 66642 29.40 66725 51.40 65109 13.00 66536 11.10 66644 20.30 66728 64.65 65110 13.00 66539 30.80 66647 45.40 66731 77.90 65111 23.35 66542 19.10 66650 24.50 66734 91.15 65114 9.15 66545 15.90 66651 24.50 66743 20.25 65117 20.40 66548 20.05 66652 20.45 66749 33.15 65120 13.80 66551 16.90 66653 44.90 66750 40.00 65123 20.50 66554 16.90 66655 20.30 66751 55.60 65126 28.05 66557 9.75 66656 20.30 66752 24.85 65129 35.75 66560 20.25 66659 37.55 66755 39.10 65137 25.50 66563 24.85 66660 37.55 66756 98.95 65142 25.50 66566 33.95 66662 80.50 66757 98.95 65144 56.95 66569 42.90 66663 80.50 66758 24.85 65147 38.15 66572 51.90 66665 30.80 66761 13.25 65150 71.40 66575 60.85 66666 30.80 66764 8.95 72 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item 100% MBS Item 100% MBS Item 100% MBS Item 100% MBS 66767 17.95 69309 48.45 69415 69.55 71075 23.15 66770 26.90 69312 34.00 69418 64.00 71076 106.85 66773 24.80 69316 28.85 69419 64.00 71077 27.25 66776 24.80 69317 36.10 69445 92.80 71079 27.00 66779 40.20 69318 34.00 69451 92.80 71081 40.80 66780 40.20 69319 43.25 69471 35.15 71083 20.30 66782 13.25 69321 48.45 69472 15.75 71085 29.15 66783 13.25 69324 43.30 69474 28.85 71087 37.95 66785 40.20 69325 43.30 69475 15.75 71089 29.35 66788 66.30 69327 85.55 69478 29.45 71090 29.35 66789 40.20 69328 85.55 69481 40.80 71091 53.20 66790 26.05 69330 128.85 69482 153.10 71092 23.85 66791 74.95 69331 128.85 69483 153.10 71093 76.95 66792 74.95 69333 20.70 69484 17.20 71095 40.80 66800 18.25 69336 33.65 69488 181.45 71096 40.80 66803 30.70 69339 19.25 69489 181.45 71097 24.60 66804 18.25 69345 53.25 69491 206.20 71099 26.70 66805 12.45 69354 30.95 69492 206.20 71101 17.50 66806 42.15 69357 61.85 69494 28.85 71103 52.40 66812 35.05 69360 92.80 69495 36.10 71106 11.40 66815 59.95 69363 28.85 69496 43.35 71119 17.45 66816 35.05 69378 181.45 69497 28.85 71121 20.95 66817 24.90 69379 181.45 69498 7.25 71123 24.40 66819 30.80 69380 775.50 69499 92.80 71125 27.85 66820 30.80 69381 181.45 69500 92.80 71127 177.55 66821 21.95 69382 181.45 71057 33.10 71129 219.30 66822 52.80 69383 181.45 71058 50.85 71131 261.10 66825 30.80 69384 15.75 71059 35.90 71133 10.45 66826 30.80 69387 29.20 71060 44.35 71134 104.75 66827 21.95 69390 42.65 71062 44.35 71135 209.35 66828 52.80 69393 56.10 71064 20.90 71137 30.45 66830 58.90 69396 69.55 71066 14.65 71139 104.75 66831 31.15 69400 15.75 71068 14.65 71141 198.70 66832 31.15 69401 13.45 71069 22.90 71143 261.75 66900 78.15 69405 15.75 71071 31.15 71145 427.35 69300 12.60 69408 29.20 71072 14.65 71146 104.75 69303 22.15 69411 42.65 71073 106.85 71147 40.80 69306 34.00 69413 56.10 71074 14.65 71148 40.80 1 NOVEMBER 2011 – 31 OCTOBER 2012 73
Page 1 and 2:
Department of Veterans’ Affairs F
Page 3 and 4:
DEPARTMENT OF VETERANS’ AFFAIRS M
Page 5 and 6:
LOCAL MEDICAL OFFICER FEE SCHEDULE
Page 7 and 8:
LOCAL MEDICAL OFFICER FEE SCHEDULE
Page 9 and 10:
DERIVED FEES - READY RECKONER FOR L
Page 11 and 12:
Item Nos. Patients LMO Fee 2631 1 $
Page 13 and 14:
REPATRIATION MEDICAL FEE SCHEDULE R
Page 15 and 16:
Item RMFS In Hospital % 359 439.20
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24: Item RMFS In Hospital % 30174 905.4
Page 29 and 30: Item 32168 169.80 32171 111.10 RMFS
Page 33 and 34: Item 35687 526.00 35688 526.00 3569
Page 35 and 36: Item 37221 676.75 37223 299.35 RMFS
Page 37 and 38: Item 38464 470.05 38466 1,295.60 38
Page 39 and 40: Item 39656 4,554.80 39658 5,214.20
Page 43 and 44: Item 42683 175.85 RMFS In Hospital
Page 49 and 50: Item 46315 1,374.70 46318 1,896.25
Page 51 and 52: Item 47432 669.70 RMFS In Hospital
Page 53 and 54: Item 48215 1,011.65 48218 963.75 48
Page 55 and 56: Item 49563 1,279.25 49564 1,525.10
Page 59 and 60: Item RMFS In Hospital % 52460 1,094
Page 61 and 62: RELATIVE VALUE GUIDE RELATIVE VALUE
Page 63 and 64: Item Relative Value Guide Item Rela
Page 65 and 66: Item Relative Value Guide Item Rela
Page 67 and 68: DIAGNOSTIC IMAGING SERVICES Item 10
Page 69 and 70: Item 100% MBS Item 100% MBS Item 10
Page 71 and 72: Item 100% MBS Item 100% MBS Item 10
Page 73: PATHOLOGY SERVICES PATHOLOGY FEE SC
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Department of Veterans' Affairs Fee Schedules for Medical Services

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